JUSTIN MARSHALL (Credential# 1670415) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JUSTIN MARSHALL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064160. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 200 Retreat Ave, Hartford, CT 06106-3309. The current status is active.
| Licensee Name | JUSTIN MARSHALL |
| Credential ID | 1670415 |
| Credential Number | 1.064160 |
| Credential Type | Physician/Surgeon |
| Business Address |
200 Retreat Ave Hartford CT 06106-3309 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-08-30 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487822 | 1.057485-RES | Resident Physician | 2017-07-01 | 2017-07-01 - 2021-06-30 | ACTIVE |
| 1427657 | CSP.0065685 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Justin Marshall · Marshall Construction | 81 Wilcox St, New Britain, CT 06051-1208 | Home Improvement Contractor | 2020-02-12 ~ 2020-11-30 |
| Street Address | 200 RETREAT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3309 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Victoria Urrutia | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Mara M De Maio | 200 Retreat Ave, Hartford, CT 06106-3309 | Psychologist | 2020-08-01 ~ 2021-07-31 |
| Samira S Solomon | 200 Retreat Ave, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Morrison Burch | 200 Retreat Ave, Hartford, CT 06102-3101 | Resident Physician | 2018-08-01 ~ 2021-06-30 |
| Angela Lynn Landerholm | 200 Retreat Ave, Hartford, CT 06106-3309 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Amanda R Delmastro | 200 Retreat Ave, Hartford, CT 06106 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Richard E Lautenbach | 200 Retreat Ave, Hartford, CT 06106 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Sheena Joychan | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sarah Calnan | 200 Retreat Ave, Hartford, CT 06106-3309 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Hannah C Levy | 200 Retreat Ave, Hartford, CT 06106-3309 | Psychologist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana L Kolcz | 200 Retreat Ave Bldg Instituteofliving, Hartford, CT 06106-3309 | Psychologist | ~ |
| Mohammadreza Mokhtari | 200 Retreat Ave Bldg 201, Hartford, CT 06106-3309 | Controlled Substance Registration for Practitioner | 2013-07-29 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | HARTFORD |
| Zip Code | 06106 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marshall E. Bein | 910 Wellesley Ave, Los Angeles, CA 90049-5823 | Physician/surgeon | 1975-06-13 ~ 2019-01-29 |
| Justin J De Grado | Psc 475 Box 1812, Fpo, 96350 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
| David L Marshall | 21 Cleveland St, Valhalla, NY 10595 | Physician/surgeon | 2009-04-17 ~ 2010-06-30 |
| Peter N Bowers Md | 27 Marshall Ave, Guilford, CT 06437-3516 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Marshall Mandell | 3 Brush St, Norwalk, CT 06850 | Physician/surgeon | 1993-02-25 ~ 1994-02-28 |
| Marshall D Kramer | 10 Kenilworth Lane, Rye, NY 10580 | Physician/surgeon | 2001-06-18 ~ 2002-03-31 |
| Marshall P Mallory | P.o. Box 320757, Los Gatos, CA 95032 | Physician/surgeon | 2018-10-01 ~ 2019-09-30 |
| Marshall J Zamansky | 6 Summerland Way, Worcester, MA 01609 | Physician/surgeon | 2016-08-01 ~ 2017-07-31 |
| Lois Marshall Md | 53 Westmont, W Hartford, CT 06117 | Physician/surgeon | 1999-06-28 ~ 2000-06-30 |
| Chetan Vaid | 11 Marshall St, Old Greenwich, CT 06870-1218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).